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4 . <br /> PROJECT UTHORIZATION FORM Engineering <br /> ~ ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> <br /> ~ i ~ (541) 682-5560 <br /> <br /> I I, Service ID: ~ _ _ SID~PB GL ~C ~JE <br /> Project title: C%~v ~ j' ~ <br /> (location nd work descriplioy <br /> i <br /> Project. manager / ontact /private engineer: ~ ~ j <br /> i <br /> i PROJECT SC PE: ~ <br /> Paving: Bike lanes /paths: <br /> idihsJ (widlhJ <br /> I Concrete walk : Setback /Curbside <br /> (length) widl/~l) ~ 1 <br /> Wastewater Stormwater ~ 4~' Landscaping <br /> Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel <br /> j FUNDING SO RCES: <br /> City Assessments Private Other department <br /> Account code <br /> - Fed /State / C unty /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK D SCRIPTION: <br /> i F <br /> ' APPROVED: <br /> Project Manag r J ~ Date <br /> Principal Engi eer Date <br /> ~ Facilities Man ger ~ Date <br /> j City Enginee ~ ~ ` Date <br /> I ~ <br /> ~ FOR USE BY ADMINISTRATION ONLY <br /> _ It <br /> Capital Project No. ACK ~3 ~ ' ~ ~ ( -1~~~ X ~ ~ <br /> -r, <br /> u <br /> c <br /> ~ GL Title <br /> Ol <br /> ~ Assigned by Date 'I 4~j v ~ <br /> Accounting by Date <br /> i I <br /> ;ATTACHMENTS: <br /> C] Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> i ? SDC Budget W rksheet ~1_ Engineering Agreement ? Engineering Service Work Request <br /> i np( <br /> ~ ~ City Engineer's vitiating Order `A Public Improvement Permit Application ? Map <br /> i Request for Sca~ping Meeting <br /> ~ LNG 415 i WHITE /Finance YELLOW /Administration PINK Engineering File GOLDENROD /Project Manager ?UL Y2004 <br /> I <br /> I I <br /> i <br /> <br />